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Higher dietary choline intake is associated with lower risk of nonalcoholic fatty liver in normal-weight Chinese women. The Journal of nutrition vol

The choice between them boils down to what the medications guidelines require and patient safety considerations: Use sterile (preservative-free) water when indicated for sensitive situations (newborns, intrathecal use, single-dose needs), and use bacteriostatic water when a multi-dose solution is needed and its safe to do so

They may take you back down to a lower dose , at least temporarily , to see if that works better for you

Yet for the reasons we discussed above, researchers should carefully vet potential vendors for reputation, certifications, and consumer-friendly policies